§456.431. Continued stay review required.

42 C.F.R. § 456.431

(a)

The UR plan must provide for a review of each beneficiaries continued stay in the ICF at least every 6 months to decide whether it is needed.

(b)

The UR plan requirement for continued stay review may be met by—

(1)

Reviews that are performed in accordance with the requirements of §§ 456.432 through 456.437; or

(2)

Reviews that meet on-site inspection requirements under subpart I if—

(i)

The composition of the independent professional review team under subpart I meets the requirements of § 456.406; and

(ii)

Reviews are conducted as frequently as required under §§ 456.433 and 456.434.

Notes, amendments, and revision history

Authority: 42 U.S.C. 1302.

Source: 43 FR 45266, Sept. 29, 1978, unless otherwise noted.